Acute hemorrhage related to spontaneous rupture of an uterine fibroid: a rare case report

Eur J Gynaecol Oncol. 2013;34(3):271-2.

Abstract

The authors present smooth muscle tumors of uncertain malignant potential (STUMP) diagnosis and surgical management of a spontaneously-ruptured degenerated uterine fibroids. A 48-year-old nulliparous presented with a two-day history of abdominal pain, bloating, constipation, and menorrhagia. Within eight hours, her distress level increased. Computed tomography (CT) scanning of the abdomen showed a large, 31 x 25 cm solid-cystic lesion. An emergency laparotomy was indicated. Surgery revealed approximately 2,000 cc of blood and a 30 cm degenerated uterine fibroid with a fundal rupture, cystic, and solid components extending to the lower pole of the liver. Pathology results noted mild nuclear atypia, six mitoses per ten high-power fields (hpf) and necrosis spread that was not coagulative with a STUMP diagnosis. STUMP presents a problematic group of uterine smooth muscle tumors for any clinician. In addition, STUMP can rarely cause acute complications like a rupture. Therefore, prompt diagnosis and effective management are important.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Female
  • Humans
  • Leiomyoma / complications*
  • Middle Aged
  • Rupture, Spontaneous
  • Uterine Hemorrhage / etiology*
  • Uterine Neoplasms / complications*